Pressure area care

Skin is the largest organ of the body, covering and protecting the entire surface of the body. The total surface area of skin is around 3000 sq inches or roughly around 19,355 sq cm depending on age, height, and body size. The skin, along with its derivatives, nails, hair, sweat glands, and sebaceous glands forms the integumentary system. Besides providing protection to the body the skin has a host of

Agreed ways of working is working with an individual with their preferences, wishes and needs in mind. Each individual will have a care plan put in place giving the carer an insight to the level of support needed .All carers have a duty of care to the individuals they care for . Our role is to guide and support them and to help them live as independently as possible. It’s important that you listen to the person and never put pressure on them .It’s important that the individual is

Pressure ulcers are one of the most common problems health care facilities often face which causes pain and discomfort for the patient, cost effective to manage and impacts negatively on the hospital (Pieper, Langemo, & Cuddigan, 2009; Padula et al., 2011). The development of pressure ulcers occur when there is injury to the skin or tissue usually over bony prominences such as the coccyx, sacrum or heels from the increase of pressure and shear. This injury will compromise blood flow and result in ischemia due to lack of oxygen being delivered (Gyawali et al., 2011). Patients such as those who are critically ill or bed bounded are at high risk of developing pressure ulcers (O'Brien et

Pressure ulcer develops as a result of the skin that is over bony prominence. The pressure impairs blood flow leading to tissue necrosis and ulceration. Pressure ulcer can develop in several areas of bony prominence of the body such as the sacrum, greater trochanter, ankles, shoulders, head and ischia. It can develop quickly and difficult to treat, it ranges from mild to skin redness to severe tissue damage, development of infection and damage to muscle. Older people are most at risk due to thin and fragile skin,

To start the search for evidence within University Hospital, questions were asked in regards to pressure ulcers. Monthly updates are often sent out via email from the wound care team to keep everyone up to date on knowledge. While there was informative numbers within those updates, this information falls short according to Moore, Webster, & Samuriwo (2015). The main limitation of the study is the lack of a control group in pressure ulcer prevention and treatment. There is no clarity in the specific criterion that contributed to improved clinical outcomes. Teams used more than one method in the research project. Also, there is no study that meant the inclusion criteria in the random clinical trials. The lack of standardized

This should all be written within the individuals care plan as well as a step by step plan on that has been agreed with them on how to move and handle them.

In order to facilitate understanding of process data and outcome data, this essay will focus on the context of hospital-acquired pressure injury (PI). PI, also referred to as decubitus ulcers, bed sores or pressure sores, is defined as soft-tissue ischaemic necrosis localised in an area caused by prolonged pressure higher than the capillary pressure with or without skin tear or breach, related to posture over a bony prominence. The aetiology of pressure ulcers include: (1) pressure – weight of the skin against contact area; (2) shearing; (3) friction; (4) moisture; (5) position of the patient; (6)immobility; (7) neurological factors; (7) metabolic and nutritional factors; (9) oedema; and (10) age. PIs affects not only in infirmed older people,

The skin is the largest organ of the body and it acts as a waterproof protector for all of the internal organs, it is comprised of several layers including the Epidermis which is the outer layer and is a protective multi-layered self renewing structure which varies in thickness depending on which part of the body it covers. Under this is the Dermis, this is a layer of connective tissue which provides the skins elasticity and strength, it also contains sensory nerve endings, blood and lymph vessels, sebaceous and sweat glands. Under this layer is the Subcutaneous fat layer, this layer separates the skin from the underlying bone and muscle with a rich blood supply it also serves as an insulator and energy store. Pressure ulcers develop

For this Unit you need to be able to undertake pressure area care for individuals, following the individual’s care plan and risk assessment, and relevant protocols and procedures within your work area.

Pressure Ulcers are a common issue for hospitals and long-term nursing facilities nationwide. Annually an estimated cost of $143 million is spent on hospital acquired conditions which include pressure ulcers (Kandilov, Coomer, & Dalton, 2014). Hospital acquired pressures ulcers are among the top five conditions (Kandilov, Coomer, & Dalton, 2014). Ultimately the first line of defense is prevention and therefore this paper will focus on a clinical practice guideline for deterring the pressure points that progress tissue breakdown and patient harm.

Pressure Ulcer is localized injury to skin and underlying tissue over bony prominence due to pressure or combination of shear and friction. Pressure ulcer not only extends hospital stay but also causes serious complication for example; pain, delay in functional recovery, serious infection, sepsis and mortality. Pressure ulcer is preventable but the problem is rising in health care facilities. Thus identifying patients at risk and implementing preventive strategies is important aspect.

Pressure is defined as a continuous force applied to an object that is in contact with it. In this discussion, the object in question is the skin. If this external pressure is not appropriately managed, it can worsen to include the epidermis->dermis->subcutanoues tissue->muscle->bone. (Pressure ulcer grading stage one to stage five). This condition is called pressure ulcer (PU).

In order to understand further how pressure ulcers can be form, we need to understand the structure of the skin. The system that involved are integumentary system. Integumentary system is makes up about 16 percent of our total body weight. This shows that even a healthy person can develop pressure ulcers if they are left in only one position for long time period. The integumentary system is place where inside of our body and outside world meet. It works as a barriers and known as body’s first line of defense against an often hostile environment. The integumentary system divided into 2 parts which are cutaneous membrane and accessory structures that include the hairs, nails and exocrine glands. Moreover, blood vessels and nerve fibers also support

1259). One of the key component of the nursing history and physical examination is the assessment of the integumentary system for pre-existing conditions or the risk assessment for potential breakdown in skin integrity. Nurses are in the position to have an impact on the financial cost of pressure ulcers to both the health care system and the patient completing a thorough, daily skin assessment during hygiene care or independently for early recognition and early intervention (Potter& Perry, 2014, p.851). Another best practice is illustrated by with use the acronym, R.I.S.E which was devised to promote the basic principles of pressure ulcer prevention among carers. Reposition; regular repositioning can help prevent tissue damage. Inspect; daily inspection of the skin can identify areas that are at risk of ulceration. Skin care; washing and drying the skin can prevent tissue damage. Eat well; good nutrition and hydration are essential for health and wellbeing (Gethin &McIntosh, 2014, p.

Care planning is seen as a decision making process creating a record of specific care for the individual. It involves the whole nursing team and other professionals like physiotherapists, dieticians, social workers, key workers and community nurses (Kopp, 1996) Nurses have the closest contact with patients and are essentially seen as the binding agents bringing all aspect of care together.